| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.10 | $64.31 | $96.99 | |
Aetna
| Professional | $11.10 | $13.11 | $25.21 | |
BCBS
| Facility | $18.73 | $43.78 | $75.31 | |
BCBS
| Professional | $8.00 | $14.36 | $30.00 | |
Cigna
| Facility | $30.56 | $48.75 | $95.88 | |
Cigna
| Professional | $7.53 | $9.22 | $24.26 | |
Medcost
| Facility | $11.77 | $16.76 | $23.76 | |
Medcost
| Professional | $13.00 | $16.41 | $22.00 | |
Molina
| Professional | $9.25 | $9.25 | $13.31 | |
United
| Professional | $7.06 | $10.09 | $20.17 |